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(p. 87) Prevalence and Predictors of Physically Self-Destructive Acts over Time 

(p. 87) Prevalence and Predictors of Physically Self-Destructive Acts over Time
Chapter:
(p. 87) Prevalence and Predictors of Physically Self-Destructive Acts over Time
Author(s):

Mary C. Zanarini

DOI:
10.1093/med-psych/9780195370607.003.0008
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date: 26 March 2019

Self-mutilation and help-seeking suicide threats and attempts are among the few almost pathognomonic symptoms of BPD. This chapter assesses predictors of self-harm and reasons for self-harm over time. It also assesses predictors of suicide threats and attempts over the years of prospective follow-up. Each outcome has a different set of multivariate predictors, but some appear in several multivariate models. More specifically, sexual adversity in childhood and adulthood, major depression, and severity of dissociation are predictors of self-mutilation; and sexual adversity in adulthood, major depression, and severity of dissociation are predictors of suicide attempts. However, these factors do not play a role in predicting suicide threats. Instead, two dysphoric affective states and two outmoded interpersonal survival strategies are the best set of predictors of suicide threats.

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